8 The Effectiveness of Government Spending on Education and Health Care in Developing and Transition Economies

Abstract

Policy makers are interested in the composition of public spending.1 This attention stems in part from the belief that government spending on education and health care can increase economic growth, promote income equality, and reduce poverty (Barro, 1991; Chu et al., 1995; and Tanzi and Chu, 1998). International financial institutions, donors, and NGOs therefore call for increased government spending on education and health care.2 In addition, an increasing number of studies have documented the adverse economic consequences of corruption; in particular, studies have shown that corruption is associated with higher military spending (Gupta et al., 2001) and lower government spending on education and health care (Mauro, 1998). These studies provide evidence that policies aimed at reducing corruption lead to increased spending on more productive outlays, such as education and health spending.

  • Collapse
  • Expand
The Role of Fiscal Policy
  • Aiyer, S., Jamison, D.T., Londoño, J.L., 1995. Health policy in Latin America: Progress, problems, and policy options. Cuadernos de Economía 32, 11-28.

    • Search Google Scholar
    • Export Citation
  • Anand, S., Ravallion, M., 1993. Human development in poor countries: On the role of private incomes and public services. Journal of Economic Perspectives 7, 133-50.

    • Search Google Scholar
    • Export Citation
  • Andrews, D., Boote, A.R., Rizavi, S.S., Singh, S., 1999. Debt relief for low-income countries. IMF Pamphlet Series No. 51, International Monetary Fund, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Appleton, S., Hoddinott, J., Mackinnon, J., 1996. Education and health in sub-saharan Africa. Journal of International Development 8, 307-39.

    • Search Google Scholar
    • Export Citation
  • Appleton, S., Mackinnon, J., 1996. Enhancing human capacities in Africa. In: Ndulu B. and others (Eds.), Agenda for Africa’s Economic Renewal. Overseas Development Council, Washington, DC, 109-49.

    • Search Google Scholar
    • Export Citation
  • Barro, R.J, 1991. Economic growth in a cross-section of countries. Quarterly Journal of Economics 106, 407-44.

  • Barro, R.J., Lee, J.W., 1996. International measures of schooling years and schooling quality. American Economic Review 86, 218-23.

  • Barro, R.J., Lee, J.W., 1997. Schooling quality in a cross section of countries. NBER Working Paper No. 6198, National Bureau of Economic Research, Cambridge, MA.

    • Search Google Scholar
    • Export Citation
  • Behrman, J. R., Birdsall, N., Szekely, M., 1998. Intergenerational schooling mobility and macro condition and schooling policies in Latin America. IDB Office of the Chief Economist working paper no. 386, Inter-American Development Bank, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Bennell, P., 1995. Rates of return to education in Asia: a review of the evidence. Working paper no. 24, Institute of Development Studies, Oxford.

    • Search Google Scholar
    • Export Citation
  • Bennell, P., 1996. Rates of return to education: does the conventional pattern prevail in sub-Saharan Africa. World Development 24, 183-200.

    • Search Google Scholar
    • Export Citation
  • Bidani, B., Ravallion, M., 1997. Decomposing social indicators using distributional data. Journal of Econometrics 77, 125-39.

  • Bredie, J.W.B., Beeharry, G.K., 1998. School enrollment decline in sub-Saharan Africa: Beyond the supply constraint. World Bank discussion paper no. 395, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Carrin, G., Politi, C., 1995. Exploring the health impact of economic growth, poverty reduction, and public health expenditure. Tijdschrift voor Economie en Management 40, 227-246.

    • Search Google Scholar
    • Export Citation
  • Cassen, R., 1996. Human development: research and policy choices, ODC occasional paper no. 3, Overseas Development Council, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Chu, K. et al., 1995. Unproductive public expenditures: a pragmatic approach to policy analysis. IMF pamphlet series no. 48, International Monetary Fund, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Deaton, A., 2001. Health, inequality, and economic development. WHO Commission on Macroeconomics and Health (CMH) working paper no. WG1:3, World Health Organization, Geneva.

    • Search Google Scholar
    • Export Citation
  • Deininger, K., Squire, L., 1996. A new data set measuring income equality. World Bank Economic Review 3, 565-591.

  • Demery, L., Walton, M., 1998. Are Poverty Reduction and Other 21st Century Social Goals Attainable? World Bank, Washington, DC.

  • Filmer, D., Hammer, J., Pritchett, L., 1998. Health policy in poor countries: weak links in the chain. Policy research working paper no. 1874, World Bank, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Filmer, D., Pritchett, L., 1997. Child mortality and public spending on health: how much does money matter? Policy research working paper no. 1864, World Bank, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Flug, K., Spilimbergo, A., Wachtenheim, E., 1998. Investment in education: do economic volatility and credit constraints matter? Journal of Development Economics 55, 465-81.

    • Search Google Scholar
    • Export Citation
  • Gallagher, M., 1993. A public choice theory of budgets: implications for education in less developed countries. Comparative Education Review 37, 90-106.

    • Search Google Scholar
    • Export Citation
  • Gbesemete, K. P., Gerdtham, U.G., 1992. Determinants of health care expenditure in Africa: a cross-sectional study. World Development 20, 303-308.

    • Search Google Scholar
    • Export Citation
  • Glewwe, P., Jacoby, H.G., 1995. An economic analysis of delayed primary school enrollment in a low-income country: the role of early childhood nutrition. Review of Economics and Statistics 77, 156-69.

    • Search Google Scholar
    • Export Citation
  • Guin-Sui, M.T., Yamada, G., Corbacho, A., 1999. The effects of public spending on education and health on social development indicators: a panel data analysis. Mimeo, International Monetary Fund, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Gupta, S., Clements, B., Tiongson, E., 1998. Public Spending on Human Development. Finance and Development 35, 10-13.

  • Gupta, S., de Mello, L., Sharan, R., 2001. Corruption and military spending. European Journal of Political Economy 17, 794-77.

  • Hojman, D.E., 1996. Economic and other determinants of infant and child mortality in small developing countries: the case of Central America and the Caribbean. Applied Economics 28, 281-90.

    • Search Google Scholar
    • Export Citation
  • Kakwani, N., 1993. Performance in living standards: an international assessment. Journal of Development Economics 41, 307-36.

  • Kim, K., Moody, P.M., 1992. More resources better health? a cross-national perspective. Social Science & Medicine 34, 837-42.

  • Landau, D., 1986. Government and economic growth in the less developed countries: an empirical study for 1960–80. Economic Development and Cultural Change 35, 35-75.

    • Search Google Scholar
    • Export Citation
  • Looney, R.E., Frederiksen, P.C., 1996. Defense expenditures and budgetary patterns in selected Middle Eastern and Mediterranean countries: an assessment. Public Budgeting and Financial Management 8, 93-105.

    • Search Google Scholar
    • Export Citation
  • Mauro, P., 1998. Corruption and the composition of government expenditure. Journal of Public Economics 69, 263-79.

  • McGuire, A., Parkin, D., Hughes, D., Gerard, K., 1993. Econometric analyses of national health expenditures: can positive economics help answer normative questions? Health Economics 2, 113-26.

    • Search Google Scholar
    • Export Citation
  • Mehrotra, S., 1998. Education for all: Policy lessons from high-achieving countries. UNICEF staff working papers, Evaluation, Policy and Planning Series No. 98-005, UNICEF, New York, NY.

    • Search Google Scholar
    • Export Citation
  • Mehrotra, S., Buckland, P., 1998. Managing teacher costs for access and quality. UNICEF staff working papers, Evaluation, Policy and Planning Series No. 98-004, UNICEF, New York, NY.

    • Search Google Scholar
    • Export Citation
  • Mingat, A., Tan, J.-P., 1992. Education in Asia: A Comparative Study of Cost and Financing. World Bank, Washington, DC.

  • Mingat, A., Tan, J.-P., 1998. The mechanics of progress in education: evidence from cross-country data. Policy research working paper no. 2015, World Bank, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Musgrove, P., 1996. Public and private roles in health: theory and financing patterns. World Bank discussion paper no. 339, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Noss, A., 1991. Education and adjustment: a review of the literature. Policy Research and External Affairs working paper WPS 701, World Bank, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • OECD (Organisation for Economic Co-operation and Development)/DAC (Development Assistance Committee), 1996. Shaping the 21st century: the contribution of development cooperation. Paris.

    • Search Google Scholar
    • Export Citation
  • Ogbu, O.M., Gallagher, M., 1991. On public expenditures and delivery of education in sub-Saharan Africa. Comparative Education Review 35, 295-318.

    • Search Google Scholar
    • Export Citation
  • Plank, D.N., 1987. The expansion of education: a Brazilian case study. Comparative Education Review 31, 361-76.

  • Pradhan, S., 1996. Evaluating public spending: a framework for public expenditure reviews. World Bank discussion paper no. 323, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Pritchett, L., Summers, L.H., 1996. Wealthier is healthier. Journal of Human Resources 31, 841-68.

  • Psacharopoulos, G., 1994. Returns to investment in education: a global update. World Development 22, 1325-43.

  • Psacharopoulous, G., Nguyen, N.X., 1997. The role of government and the private sector in fighting poverty. World Bank technical paper no. 346, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Ravallion, M., 1992. Does undernutrition respond to incomes and prices? Dominance tests for Indonesia. World Bank Economic Review 6, 109-24.

    • Search Google Scholar
    • Export Citation
  • Sahn, D., Bernier, R., 1993. Evidence from Africa on the intrasectoral allocation of social sector expenditures. Cornell Food and Nutrition Policy Program working paper no. 45, Cornell University, Ithaca.

    • Search Google Scholar
    • Export Citation
  • Sargan, J.D., 1964. Wages and prices in the United Kingdom: a study in econometric methodology. In: Hart, P.E., Mills, G., Whitaker, J.K. (Eds.), Econometric Analysis for National Economic Planning. Butterworth, London, 25-63.

    • Search Google Scholar
    • Export Citation
  • Schultz, T.P., 1993. Mortality decline in the low income world: causes and consequence. Economic Growth Center discussion paper no. 681, Yale University, New Haven, CT.

    • Search Google Scholar
    • Export Citation
  • Sen, A., 1999. Economic policy and equity: an overview. In: Tanzi, V., Chu, K., Gupta, S. (Eds.), Economic Policy and Equity. International Monetary Fund, Washington, DC, 28-42.

    • Search Google Scholar
    • Export Citation
  • Shaw, R.P., Griffin, C.C., 1995. Financing Health Care in Sub-Saharan Africa Through User Fees and Insurance. World Bank, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Tanzi, V., Chu, K., (Eds.), 1998. Income Distribution and High-Quality Growth. MIT Press, Cambridge, MA.

  • Tresserras, R.J.C., Alvarez, J., Sentis, J., and Salleras, L., 1992. Infant mortality, per capita income, and adult illiteracy: an ecological approach. American Journal of Public Health 82, 435-37.

    • Search Google Scholar
    • Export Citation
  • Wagstaff, A., van Doorslaer, E., 2000. Income inequality and health: what does the literature tell us? Annual Review of Public Health 21, 543-67.

    • Search Google Scholar
    • Export Citation
  • Wang, L., 2001. Health outcomes in poor countries and policy options: a summary of empirical findings from DHS data. Mimeo, World Bank, Washington, DC.

    • Search Google Scholar
    • Export Citation
  • Wenger, J.W., 2000. What do schools produce? Implications of multiple outputs in education?” Contemporary Economic Policy 18, 27-36.

  • White, H., 1980. A heteroskedasticity-consistent covariance matrix and a direct test for heteroskedasticity. Econometrica 48, 817-38.

  • World Bank, 1993. World Development Report 1993: Investing in Health. Oxford University Press, New York, NY.

  • World Bank, 1995. Priorities and Strategies for Education: A World Bank Review. World Bank, Washington, DC.